KNOWLEDGE AND SKILLS MIDWIFE FOR CERVICAL CANCER SCREENING METHOD WITH VISUAL INSPECTION ACETIC ACID (IVA) IN WEST KALIMANTAN
ABSTRACT: Background: Globally it is estimated that every two minutes a woman dies of cervical cancer and 500,000 women are diagnosed to have cervical cancer each year. In Indonesia, the incidence of cervical cancer is by 12.6 per 100,000 women with a mortality rate of 7 per 100,000. Screening method can reduce the incidence of cervical cancer if done cumulatively. In 2012, the coverage of screening with a VIA method in Indonesia was 1.57%, whereas screening coverage with IVA West Kalimantan Province by 1.06 % Objective: To assess midwives’ knowledge and skills of screening practices with a VIA method in health centers Methods: This was an observational study with a cross-sectional study, using quantitative and qualitative approaches. The study was conducted in health centers in the province of West Kalimantan. This study was conducted in September to October 2014. The subjects of research were midwives who served in health centers doing a VIA examination in West Kalimantan who met inclusion and exclusion criteria. The total sample of this study was 42 taken with purposive sampling. The variables of this study were the dependent variable, ie, the practice of screening skills with a VIA method, the independent variable, ie, knowledge, and the extraneous variables, ie, age, education, and years of service. Analysis of the data included univariable, bivariable, multivariable, and qualitative. The quantitative data analysis used the chi-square and logistic regression with a significance level of p <0.05 and an OR value with confidence interval (CI) 95%. Results: The mean value of midwives’ knowledge was 26.0 of assessment scores of 0-30. A mean score of practice skills was 94.4 of 38-114. Clinical skill practice of competent midwives with good knowledge was higher than bad knowledge (OR= 6,98 CI 95% 1,21-40,33). After controlling education and years of service variables, good knowledge influenced competent screening practice skill by 33%. Conclusion: Most of the midwives in West Kalimantan had good knowledge and skills to perform cervical cancer screening with a VIA method
